Hospital Complaint and Survey Information - 2003

St. Francis Hospital - Poughkeepsie

PFI # 0180

Revised: April 2004

Complaint Information:

Calendar Year: 2003
Complaint Investigations Completed: 8
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 37.5%
Regional % of Complaints with SODs issued: 24.5%

Areas Cited

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
6/11/03 405.4(a)(1)(i) Medical Staff-Medical staff accountability 9/2/03
6/11/03 405.8(b)(1) Incident Reporting 9/2/03
6/11/03 405.9(f)(1) Admission/Discharge 9/2/03
6/17/03 405.2(b)(2) Governing Body-Organization and operation 8/20/03
6/17/03 405.5(a)(1) Nursing Services-Organization and staffing 8/20/03
6/30/03 405.14(b) Respiratory Care Services 12/1/03

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited Date Plan of Correction Accepted
none